37 Copyrghlcd m teria
REST
shut th'tm~IH~ off (rom the SOUl\"t or th~lr rt•411 s trength.
True rnt is r.1re in the nlOdcm "orld. Much of \\•hat pl"()plc call rest is ;~.ssociated with ment3l m·erstitnu1ation. wh('thrr dru~. tdevislon, \·ideo.garnt..'S or wh:Ht'Vt"r. The
lREATMENT OF DEFICIENT YIN
result o( this i$- that Yin is no l proper!)• t'\1plcnishcd, so
that P'-'(Jple become increasingly U1'Cd .~n~l re:.tk'$~. Tiley
1n.:"IY nllem.ue between the usc of stlmultJnts such as coffct' o r amphe t;~mines. to si"c them energy or e.xcitemL•nt. and the U!K' or tranqulllitt.•r$ t~nd nJrcoti~ co giv\!' a t i'mpor~ry
outifi
SLEEP In mod~m life. the world of d.ayhmt> nu.·ntal acti\'ity and stress htts encroached into the world or talccp. so that sleep is ofh.•n o f poor quality. and the pt•rson ch-.cs not
aw.1kc rclrcshed In the morning. lnd~, the prevrl l ~n('t) o( insomni:t and the widesprcJd usc o( h ypnotic drugs indicate the extent of this problem. Slc'-'P is not merely ., m5o"'tion of physical acti\'ity. it is;~ st.11e of being which is ne
tN"rumoN
Deficient Yin c.ln bC! truatcd symptom..,tk~lly with points lit..e SP.6 ,u u.l Kl6, but this is not enough to lxlth rt~plemsh Yin and prevent fu ture Deficiency. A more thorough trc.ttmcn t of Deficient Yin h;.$ several aspects: tonlly Qi
tonih· \'in d~.. Rre calm t~ Spi1i1 den!k>p tnner JX'aC"C af)d strcn&th readjust SOJ15.
TONI~"Y
Ql
Dcfid•nt Yin is oflen bdsed on Oelki
TI1e world or si•'CP is alllt'd with the right side of the brnin, with dreaming. imagination and intuition. Analysis
and intuition arc complementary r.lcultics. but the balcmct.• betwt.>en them has been lost. In the modem world thc:r\1 is great overemphasis on analysl$ and gre.1t underdcvc.lopment u( intuitio n. l...o$5 o( the intuitive: ability gre.uly lnae.Jses the level of unt"t'rt.Jint)• and stress. le>
llf•.
lNNEll STllENCTH
Inner st rength can be developed by the daily d iscipline o r routine of dt-eply rcl.uins the mlnd to experience directly the balan<'C o f Yin-Yang. Th.i.$ simu1t.1neou.s experience or pc~ and Stn">flgth can then be al)owed to Row out into the life. Thu.s. outer strength is based on inntr strength and 5tillnm. Most people l'XJ"'nd their energy In ccnstant stressful a
or
TONI~"Y
YIN
Points like.- SP.6 r.nd Kl.6 can be used to strcn~th('n Yin in general, and points lil
DISPERSE FIRE The 5)"tcm of reducing the Fire point and rdnforcing the Water point Is d f
CALM THE SPIRIT In addition to the points ju.st given., to tomfy Ytn and to disperse Fire. other point$ can be usro co rnlm the Spirit. di.'pcndlng on th~ situatiott and on the energy o_--ntre affected. f-or CX4mple:
CV. I4
for Deficient Yin 1-"th (c,u
111
rt
MAI;\' iAINI]'.;G niE 8At.ANCE OF YIN AND 'YANG 39
CV.I7
for Deficient Yin with overexdh:.'fnent or an.xiety
point combinotions for the 10 personolit}' trpes summarized In Table ~ . 3 .
J;J"C
for Deficient Yin with mental restless -
ness
an mi<1n
for Dcficicnl Yin + Ocfidcnt Blood with
insomnia GV.20
for Deficient Yin + H)·peracti\'C liver Yang for Deficient Yin with insomnia and dn~.m·disl urbcd sh."Cp.
DEVELOP INNER PEACE AND STRENGTH This can only happt'n when patients realize that their greatest resources lie within themselves. and when they make a daily routine of rclax.ation a n d meditation cxcr~ c:iscs that allow thcr.n to contact thc54: rcsourt'Cs. a.n d bring them out into their lives.
Acupuncture can open a window of opportunity. and the practitioner c.m give instruction and support, but it is
only the patient's daily appUcation that will lead them to a direct experience of the balance between Yin and Yang.. the experience of unity.
READJUST GOALS 1'¥t'any people in the modem world, set tht..•rnselvt.'S goals thJ.t are inappropriate to their pcrsonaiHy, b'-'yond their capacity. or impossible within a given time limit. As a result they bum out th~r resf:rves of energy a_n d suffer both exhaustion and deprt'Ssion- S4."e Chapter 34. Patient counselling is necessary if they arc cv(.•r to rebu.ild the Qi and Yin, so that they undmtand them~lvcs, both their abilitit.-s and limitations. select goals within their capacity••md .li!Ow themselves time to rest and recover. Combinations such as GV.20 • K1.1 Rd can only be used to rcl.lx the will if thC' pc"'ticnt is lik<'1y to il~pt the sensation of exhaustion that may follow the use of tht.'5<.' points - see Chapter 4 on th~ life lessons of the lity types.
J'CI"'"•
YIN AND YANG PERSONALITY TYPES Each of the Five Elements has a Yin and a Yang personality type. E.lch of these 10 types te nds to charac-
teristic illnesses and life problems. For each of the Fi\'e Elements there is a s tate of balance between Yin and Yang. and each of the 10 p('rsonality types can pro~ towards this ba:IJ.nce by learning the particu lar lessons of their type. This is discussed in detail in Chapter 4, and
FEMALE AND MALE E.Jch human being can focus their attention on their inner self, lhe Yin or female nspcc.t. or on the outer world, the Yang or male aspect. The inner and outer aspects are complementary, and wh~n an individual overemph
PI!OBLEMS FOR MEN For men. the problem has always been ovt>remphasis on e:xtema.l acti\'ity, Y,;mg. and .1 loss of ronb1ct with the innt.-r world, Yin. This not only rl.~ults in burnout of Yin but a lso in loss of contact with the softer Yin qualities of tC11dcmcss, compassion and anng. This results in a world of fear. inscru.rity. hatred, aggression, warfare and t.-ruclty, which
Copyrghled m leria
din.·ct their attention inward. to cn.-.uc d •trong(.'1' cont.1ct with che lnntr selr. 11t0 thilt they c:en bnng more of the feminine quolbtil'"S of the inner M>lf otll Into their I1V('$ .tnd into thl! world around them.
PROBLEMS FOR WOMEN In most of the sodeti<"S of the p.ut, the problt'tlt ror womrn wa, c-xh.1ustion of Yin throush continual child· birth and c-hlk! Colrt.".
In modt-m society.
3$ ,~·omen
l>N'olne
mot"'e
arn,·e in
lht• "'-lcm.ll worid. they are incn.·.uinsJy suffering from tht· s.anw problems as men. in O\'('n"fnph.htS of Yang.. loss or ront.lct wuh the inner-5('1( o~nd lnruhK>O. and the burnout o( Yin. Thls is rcHocteJ in ·' change in disc.tSc patterns. fur cx41mplc. an incredse In my{)('.,Jial infarcHon. In ~dditiMt, not only Jo many wom~n have th(' d ouble lo:\d of motherhood and job, but .liSO this is n lime o( confwlon ;.nd uncertainty "bout thl.!' n:.'ltun: oi ft.•minlulty. and the l~la n«' of the male and (~,.•mah.• •.b5)('C'ts for women. Whilst womC"n l('nd to h
CHILDREN AND YIN-YANG E.lrly childhood U a time or acting out o( the innl'r world. time o f Jiving from the im.lgin.uion, a lim~ of the and growth of Yin, In \Vt"SICnl society there iJ in CTC.uins pr(>S.Surc on children to look .~md beh.a\'e like ft'l..'nng~,.'l'S or even like tldults. Al-.o. tn a large exll.'flt, t.ht' dewlvprn~n t of the imagin:'ltion has bt."Cn replac;ed by vidco~s.amc~ and telt"\'ision. This di."\.:Sluation and short('fling of d1ildhood is not simply tht> Joss of • magic tim~ in life. it is a wt~kt"n1ng olthe dl"Ve!opment of the Yin qu.thhes which fonn the foundations o( .tduh lif~. This situation is m.:~de ''~-'l)r.,(' b)' the cu".:-nl weakening of rhl' (,lnuly and social structtzre. o>~nd b)' the confusion 41bout th~ noature and roi<'S of men :md women. ldt-.tll)', A
devt'loprn~m
childr~
nt."C'\.1 10 e:..pcrience both the YJng .md th~ Yin qualities of th" father. and both thr Y•ng and the- Yin quJiitl(.\'5 of the n\Other. They ni.'i!d to rxpcnt:'ncc the masculine .ruu.t feminine aspects ol both par<'nl:s, so that their own mllk._fcmc'lle b,,lancc c;,,n dcvdop h.umo11i· ously. In reallt)11 many childretl grow up in on <'· p.ucnt fomUIh."S, whil)l the 1t\11joritr d evelop in lamilict where the rarent~; Mi> rwilhvr in baJan cti> wilh th4.·m~lvl~ nor l'3C'h other. Jn Lh('Se conditions or ronlu.s.ioll, ronnict, insecurity and uno;-rt.ainty, .nisc not only childhood disc.1M'S 01nd juwnite crimtt, but al..o an unstabJe foundation for .ldult hfe. Acupuncture treatment of c-hildrt"f'' 11 lh"'Tt(ore vny often enh.u~ by acupuncture tr('.Jtmrnt a.nd rnun..o;ellanz;: of l hl." p._.ltl.'flb
YTN-YANG AND THE AGEING PROCESS In th.: \\'t')ttm world, the pressure for children Jnd t('("'agci"S I"~~ to lvok nnd act like Olduhs. For >ldults, thert' is cnormoui prt'iSUn' to maintain d youthful ..ppc:uomce, C\'t.•n in old "S:~ lndl-t.-d. dut" to 11 los~ o( con Wet \\'ilh the inne-r ~If. peep~ identify ";th their external appedrd~. and cannot aca."PI the ageing p~ AI mtdHie. b..."'th'C\"1\ .1bout 40 oJnd 50 yt".ns of Jge. there is 6n opportunity tu g.tin sreat s:rength Jnd hisdom by assimililhng the ••xperi~n:e:es of ;~dult life, and ronhnuing .!dive hfc with a deeper understandin,; ilnd awartm"Ss. Midlife b , time whl.'n the (jUality of VAn~ c,'lr, tx.o incroJscd by ~' 1'\.--tun\ to Yin, and the!'(' c:~m be the cst ;~blf11hmcnt ol :'1 n'' "' b:.t.,ncc o( Yin .. Y.ltlfi:. However-, (o r m.ln)'• thi:t opportunity is rt.'3trili(-d by Cl ft'Cii•,g of despair at growing old and an dUempr W h old u n to th~ past. Jn old "S'-'· from 65 onwards, there is .1 dcdin~ of Y.tng, o1 rt'duC1jon in uutt
TREATMENT OF DEFICIENT YANG The empha.J, of thi~ ~tion has been on the urlgin$ .md treo~t:n'l\.~1 of DcfkKmt Yin. However, th...,-p an.• those who arr Odkicnt Yon& c1thcr br ronstitution. physic:.d O\"Cr'• work and ..-.po;urc to Cokl. or b...'C.auw they \\'trc originally healthy or ~fidt"nl Yin, but bumt>d our thi."ir Yang by stn•5sful activity.
C. py I I
m
·n
T~ltment of Dolicirnt Yang
lw fe\'cr>t .upoos:
tonify Qi tonify dispc,... Cold and Damp rcliuw dl'prt":4Sion prcv~nt futuro bu"'out.
Y•ns
and omotions. partly due to O...ficiency, and partly due to thr Stagnation that follow·s iL Points c-.m be clws.._~
according to the shuatk>n and the ene-rgy cenlrtlS affc."("tfd. For f'XJmpte, CV.3 • CV.6 (or depre$$ion "·'ith infertility, cv .3 + CV. 17 ror ~,,dm~s with lm."gUlitr m-.:·nstruAtion. CV.6 • CV. I4 fur fcdrful depns
TONIFY Q l
l'REVE.'IIT FUTURE BURJ\'OUT To provide • solid foundation for Yang. it is nSdry to tonify Qi. Blood •nd Yin. This an bo don~ "''th rombi· notions li"" CV.~. ST.36 Rl M; SP.6 Rf.
For those- \\ ho ha\·t beromt Dl"fident Y~ng due to burnout there is • problem that .. soon .s !hey a
&''"
little man: en~rgy. thclr rcstles.sncss lllnd (I'U61ration ~·ill tend CO the 0\'t>rilCtivUy that ,~,;n burn OUt Y.,ng .tgAin TO:-.I!FY YANG
Yang ltsol( can be streng1hmed by noc
DISPERSE COLD AND DA-\IP
•
In o dd i~on ro needle .md moxa of the Fire points. Cold ond Damp con be dispersed by the use of 5uch points as CV.6. CV.8, CV.9, CV.I2, ST.36. ST.40 and SP.9 with Relnfordng method .lnd moxa.
Moxa must be used "'ith great caution with these
patil!nts. since they can e.1.sily dunge (rom Delidenl Y.mg back to DcOdenl Yin. Points need to lx.- iiddtd to C'
YIN-YANG AND THE FOUR IMBALANCES The ne-.ct ch.lpter exp._lnds the- dassific01tion of d&sharmonjes into Yin or Ytlng, by using the concept o( the! four main irnbalan«-s o( Qi, Ocficit•ncy. Exn.-ss, Stagnation ~md lm'gularlty. ()('fldency .md Stagnation .:are rc-lati\'cly Yin, nnd E.~cctts and lmgul.11it)' are relatively Yang:
REI.IEVE DEI'RESSION
Yin Detidency
Y•ng E'(ttSS
Oefirlent Yang con lead to l•ck of mov~menl of both mind
S"'gn•tlon
lmsu.Luity
6
Deficiency, Excess, Stagnation and Irregularity The concept of the four main Qi imbalances w.ls developed by the author .-.so system of the classification of disharmonies. which could be: used to inh:gratc acupundurc. energy work .md medit.lt1on. Once the dish;nm<,n y has been classified in this way,. the principle o f lreiltm£.-nt is the s.am(" in all three therapi<.-s.
THE FOUR MAIN QI IMBALANCES ·rhe four main Qi imbalances are i)(oficiency, Excess, St.lgnatio n and hTCgularily. All Qi disharmonies enn be classified in terms of these four main imb.lkmc('S o r their
<:Qmbinations.
DEFINITIONS Deficiency is a Jack o f enero-y, t:>ither in the body as a whole, or in specific organs, or body pam. Stagnation is insufficient movement in or beh,·een specific chaMels, organs or parts. It is assodated with blocks or obstructions in the Oows of enl!rgy. There may be Oefici('llcy of energy in front of a block and Excess of onorgy .:~ccumulatcd
behind it. Irregularity is disturb.tncc in the smooth flow of en ergy within or between channels. organs or parts with asS<'>Ciated distu rbanc~ in physical
functions. emotions and behaviour.
-./·r~~-· ~ S••a••
Fig. 6.1
Th~
four m.t.ln Ql lmN!.JJ1t'ts.
43
Copyrghled m leria
~-'
TUf.'ORE'ffCAL I"KJNCIPIJ:S OF I'ONf CO\l81~ATI0.\.t
E_'(.tmples of
lrregul~:rit)'
.tre shown In
TJbl~
6. 1.
llyJ•vnttiW Uvf't Y.mg Dl.;mrtt•n~ of' I lean Splrh
rough, btluru fl".u ful .1m:i'lih' dimn"'"', lnii"'btluy. lou,hi~~ NniA, hf\.!Nib, drcdm-dMu•ttd skep
"""''liKJ!.b
di.tn-h01.·~. lx>rbv•")sm~ nauo.ea. \UI'Iilln& bf.~ns. hl«uJ"
liwrt
Rt-bti iJoOUt Sf~'n' Qi Stoo..l
OF TREA TMEI'>I
The methods of tre.ltment using acupun
Ailment R~bt:Ub» t.un,: ~ultWy (~,., ln,•aJ.,...,
~IETI-1005
Dcfidency Execs.,
R(. ~ I Rd. El. C. 8
St;•gnatiOtl
Rd. E. E~ M. C, 8 Rd (for lrr~sulilrity with Ex«'Ss) E (for lrrcgularity with Ddicicncy).
lm.out:~rity
Methods arr sho"'" in tnore detail in T.1blr 6 4.
PUI.SES Each of the few main imbalanre, can be JUOciJtrd , ..;th a group uf pulses as sho\'tn in T.1ble 6.2.
ltllbabntc
Pul•e 8fOUpt
.,.0.:.....
rulf. lloo.l."J'
fid t't'I('V
t-mply, ch.ln. d"'PPY• m~n:u:e
St:otsnahM
WW¥, htndt"l"((d t~\1111, rNMn~ ~Ut•nod
l m~l.tr
In tlus dltlpltr, tht ;rords tmpry. full, wiry 4nd '"fSUl"r will bt ustd to indicalt thrir rapcctirr"~ puiJt J!,'f"'ups. If llrt word 'tmpty' b uud. a.s i11 Tablt 6A and F;grtrt 6.2, for rxample. il CDII hrdicutt any unt< iJj tlrr fmlsrs m tltt Drfoc•imry
,,,ur
RfOUp.
PRINCIPLES OF TREAniENI
For the four basic imbalances. the SJmc principles of lre41mcrU .tpply whether the pr.lC't ition~r wcs 010.1punc· lure, ent.-rgy techniques ()( medit.. tion.
WIND, HEAT. DRYNESS. COLD AND DAMP fkasides the four imbalances of QJ, there arc the hnbal· anccs associated with Wind, Heat, Dryness, Cold and Damp. each of w hidl an be eith~r Exterior o r Interior. • Wind rcpr('S('nts mo\'emmt and chansc and li Yang. E"'tl'rior Wind results in .1cutc ExC'CS$ in the surf~ ol the body. Interior Wind is lm..ogulari1y \~hkh an b..• .wod·
ated \\ith Ex=s. e.g. U•-er Fi"'· or D
c.:m be assodJtc.-d with either Deficiency or Exo.."Ss. • Drym.'SS m11y origina te from Excess Heal p.ntf."mS or be associated \\i.th Ocfident BJood or Dcficicnl Yin. II is itwlf a Deficiency p.11h.·m representirlg " lbek or nuids.
E.,n.,.s
• Cold 11 Yin .1nd m~y ori.giMte from E;\terior Eu
Stagnation
• Damp i§ Ym, whcth('r it originates from Ext~rior Excii.'Ss
tonify Ddirit"ncy d~pc:rse
MO'I.'C
O THER IMBALANCES
calm lrrl'gulouity.
of O.tmp ur lnlcrior Od idc-nt Spleen and Kidneys. 0Jmp is ht>avy i'lnd lingering and is <.lS.~odah..'il with Slagu a llosl. irrogulot
~-<.T>~ Shgn.ton wiry
ns. ,,! ·nw pulk' 51U\Jf"5 of tht: {o-.n !mb.tl.-n..:n.
PRIII:CII'I.F.S OF TREAThiENT • Exterior Wind is d~pci'SC'd and lntc:rior Wind is c.Jimed. In .tdditton~ i( the origin of Interior Wind li &CC!'S.). this is d~ o( D
• htt:rior Hc.•,ut or fnt~rior E;'(ccss I fc~t are dls~rs.:d. and for 1hterior Ct!tid~ncy HeJt, th" Ht'.lt d d tsptorst'\1 and th~ ~ficicnt Yin iJ tonified.
l)t;'fiC:: II!~CY, I!.XCFSS, STA<.~ :\'Ail()f'\ ANI) IRRECULARl'rY
• For Exl<.'rior \~lind Dryness, the \\1ind is dispersed ;m d if n('c(_'SSary1 Yin is toni6ed. • For Interior Dryne~. tonify Yin.
• Exterior Cold, Excess Cold .u~ dispersed, ;md for fnterior Deficiency Cold, the Cold is dispersed and the DeficiC'nt Yang is tonificd. • Exterior or Interior Damp mus t ~ dispeJs.t.--d Jnd the asK'IC'iated Stagnation moved, and if tlw Interior Damp is based on Dcf'lcicmdC's of SpleC'n and Kid_ne~•s, these must be tonificd.
COMIJINATIONS OF THE FOUR MAIN IMBALANCES There :ue six combin:Hions of the four main imbJlrmccs .lS shown in Figure 6 .3:
45
As another ~xampfe, fo r a
CLASSIFICATION OF THE ORGAN SYNDROMES The organ syndromes can bt> classi fied into the 10 categories of Ddidcncy. E."ccss, StJgn.1tion \lnd lm•gularity and lheir six combinJtions as sho\''" in Tab}~ 6.3.lt can be seen from 1he table that the Kidne)'S tend to Oefidency and frregulari:y ;md not so much to Excess. Th~ liver and the H~Jrt are espt."Cially prone to patterns of Irregularity. due to
the disturbance .lssodated with Heart Firl!', Liver Fire, HypcrJctivc Uvcr YJng. or Uvcr Wind rising up t.he body,
causing Disturbance of He.ut Spirit.
SUMMARY OF THE TEN lMBALANCES
PRJNCJPJ.r:S OF TREATMENT
Which principle of trcJtmcnt is emphJsizcd. will dC'pcnd on \\'hkh of the two imbaldnt'.es in a combination is dominant at a particular time. For examplt>, for the cumbination of Exc<.'Ss ;md Dcfici<"ncy. it is not possible for full Exces5 and fu ll Deficiency to exist in the :H1mc organ at the same t im~. H ow~ve r, it is commcm fo r Excess to domin.1tc in the acute phase during an attack, whilst Defickncy dominalt-s in the chronic phase bctwt..-cn attacks. 1:or example, during the ;u:utc phast> of violent hcada,hc, disperse the Exct::s-s Liver l;irc; Jnd during th~ dm.,nic phdst:, tonify the Ddicicnt Liver Yin on which the temporary Execs.~ is. b.ucd.
The four b01sic imbabnces and their sh: combination...; are summ;uized in T.1blc 6.4.
CLASSlfiCATION OF POfNT TYPES
Irregularity
lrtegularitv
Acupuncture as a th€'rapy has a self-n.1)ulating effL'<'t on the body, so for a ny acupuncture point.. the insertion of a nt>t'
• Excen
... Deficiency
used in different
lrro51ularity ~
/
'"•gul.,;ry
\
• Stagnation
(
T
\-~ SlaQnMion
Stagnation
.,. Excess
• Ooficioncy
'-.._ Sll..,.tlon __..-/
WJ~·s.
APPUCATIONS OF THE CONCEPT Of THE FOUR IMBALANCES The .:on1..--ept of che four nlain Qi imbalances, De(kienq•. Ex·ccss. Stagnacion and lrrcgulo1rity, is most useful in understanding the origins of d iseases. It is helpful i.n understanding the dinical applic-aUon.s tlf the five Element th~:~ry (Chapter 9). and it is essential in extending the r.J.ngc of usc of the ExtT;l ch.m.n cls (Chilptcr 10). Jt ca_n illuminate an undcr.;tanding o f the treatment of p$)'c.".hO· Jogital di5:0rderS, sin«- the mind and emotions can be
seen
JS
Qi·flow phenomena.
Copyrghled m Jeria
46
THEORETIC.\I. PRINCU>U:.'S Of' POINT COMBINATION
T.bl~
6..3 Cl.u&i.fi<'Olltion ulthe ~n ~ynd_rumt.')
l mb.,.ancc
Lunp
Kidneys
Unr
llurt
SpJnn~Siocn«h
r>efl~y
O.f.LU Ql Od.LU )'in
Dw!f.KI jtng Vd.KI Qi Dt!.KI Yin
Ol'l.LR Blood D
O.f.HT Qi DcUIT mood
o.r.s r-sr Qi Ocf.ST Yin Ocf.SP YAng
l.R-CB Fitt'
H Tflre
ST fh
St.LR Qt St.LR BttW
St.HT Ql
5<.51'-ST Ql
Dc:f.LU Yn.ng
Ot-f.HT l''m [)(ofJ.IT Y~ng
Orf.KI Y.-ng: EXC'e$1
LU Firt>
St
SLLU Qt
I nq;uLI rity
StKI Ql K'l 1..-Ar inv:~d•~ HT
R
DE>flcicn~:r • E-xt.~
~A~uu \1.n + lU Au~
lrrt"gul• rity
. """""
Reb.t.U Q; "'
lnq;u.l.t ri ty
R.b.LU Qi
• Drbonc)·
._ lkl.LU Qi
ll'f\?'Sularl ty
Rt>b.LU Qi
~Nf. KI
."""""
fear ditturb$ l-IT
• r>eua QJ
• St.l.U Qi
~f.LR
Df.tHT Yift .,. HT Fire
Od.SP 'l'tu'8
LR Fue
()jst. of Hl Spirit • 1-rT Flh'
Rtb.ST Qi + ST Rh'
Hyf>!r Y.mg • - .LR Blood
OUt. oil-IT Spirit • Od,HTQi
R
H)'p. I..R Yang
l>ist. nl Ht Spirll + St.HT Qi
R~o~.ST
LR-C8 txunp HC'.t:
Phlegm Cold [n HT
Damp Heo~t In SP
St.LR Qi • Ocl.LR Yo1ns
SLiiT Blood • Dcl.HT Y~ng
St.SP-ST Qi • D
\ 'i.n
!)t.I..R Ql
·t
St•gnatlon
Rfk'ntion of Phk•gm in LU
St•putiun ~ 0..~-ncr
St.Qi • O..f,LU Qi
St.KI Qi • Dr.f.KI
Qi
Ot"f.• [k(K"Ien~)': Sc_ St.lgn<~tion.: Reb.. R£-bellious: Hyp.. Hypt-ractio,.-e: Dlst., Tabl~ U
Dbt. of UT Spirit
+ LR Fire
ln tl:
• ..., 5T Qi Rcl>.SI' Qi
fi)'P·I.R Y11ng LR Wi nd
LR Wind •
R~hmtion o f PhlcgD'
"' SLISJI.Uion
V;ing
+ O.amp
St.liT Blood
• D.tmp
Qi
• St.ST Ql
Obhub.tnc~
Sumnury (If the 1M lmbal.uw'eS
lm~
frindplt ot trutmtnl
,.,..
Enm:plt tyndromt
Eumple Aillntnl
Point combirulion
tr~itmnt t
Mtchod of
~'Y
tonify
""""
~mpt)'
Rf M
OM. Kl Qi
imp:ltt'nno
CV.4, CV,20, HL23, ST.36 Kf M
F.xn'tl:t
di)~'
full
Rd. EJ. C. B
LR Fire!
.1~!'\
G\'.20, KJ.l. LR.J Rd;
I.R.lB
rc.9.
St.lgJU~~n
mo''"
"'-iry
Rd, E. El. M. C. 8
5<. I.R Qi
d.,......,
CV.6 EM; CV.Ii', PC.6. lR.J Rd
lrft'gul.tnty
t".t!m
int'1_tUI.tr
Rd, E
Rri-1. ~~ Ql
nat15('.a
CV.H , f'C,6, ST.J6 F.
""""""'
tonify
empty or
Ri, M Rd. EJ. C, B
Oe1. LR Yin • LR Fife
sr.6, u u Rf G8.1 E~ GO.JS Rd; LR.IB
m~t. of
• F.x"""
lm!S"l.lrir)'
... E.~«'!'~
lrrtgu~rit)'
• Otfidmcy Sla~;JUtion
+ E.~s
lmgul.trit)' 'l'
St.'lgn..~tiOt\
Sta~rion
... Dcfkienc:y
•
d~~
fuU
d.,..,.
irK'S'll.lT to full
Rd, F.
c.tm • tonify
!rre,;ubr • empt)'
Rd. E
~~~, d~tu1bs
R(, M
• ()rl.KJ Q;
wiry •
Rd. E. fl. M. C. B Rd. 8
CV.I7, LU.I, LU.6 Rd; 81..13.
Cold in LU
Rd. E Rd. f. FJ, M, C, 8
Hrp. LR Y11ng • Sc. LR Qi
ptt'l'nen.Sirual S)'ndtome-
C\'.20. C8.20E LK.2, I..R.l4, SP.6 Rd
Rd. E. D. M, C. 8 Rf . M
St. J-IT 6Jooc.l
•ngin11 p«tori5
olm .,
ID0\'1.'
t
di~JX'rso."
full
<:aim ,.
in-eg:uJM
"'"'~ 0\(1\'(- ..
tcnify
1-
wi ry
wiry • «"mpty
Rd. FJ. C, 8
tn Spirit
• HT Fiw
Hr
Rl'tCTitKm ot Phlq;m
nuni.1 .md
CV.U, IIT.7, SP.6 E Rd
anxletr
HT.8, KU Rd
fear ;ind
CV.H, f'(;_.6, HT.7 Rd CV.4, KI.J, ST. l6 R1 M
.lppl'l'ht"nsion
Od. HT Yang
SVoORd M
CV.I7, SP.4 Rd M; SP.21, PC.6 Rd
cv.•. s·r.l6 Rf M
PuN! rwn~ l'f'fn h) dw pulse sroup. se.! p. ~.;. oot tht> indl\!idual qu,iJ!ty. Pd ... ~l'icit':nty; 5~ . . S~gn•lil'ln; RA:ob .. !Wbdtio~ llyp.• IIYJ"-'I'•
Cvpyrghlcd m lcria
WICII!SCY. F.XCESS, STAC'IA110:-1 ...m> lllRf.CULARITY ~ i
ACUPUNCTURE AND EKERCY 1\'0RK Poial
trr-
Point UM Od!d
X
X
Sou... Connc'<'llng
X X
AtcuMul.1lk11\
•
At.nn Wdl 8.ac): Tr•ra;ponlns A~ Elftwnt
X
1
X
X
'
' '
~ Wmdow ol ltu\'l'n
\
'
X
• •~
X
X
X
' \ \
' '
X. ptmlt)' UH; JC. Sft<'Onlllry \H. T~l•
6.6 CLaililboon of Conreption t',h;,nr~t'l point• Point uu
rolnl IYJMI Otfidtney CV.lt CV.ll CV.I 7
1
cv.n
X
cv.u C\', 6
cv•• C\')
•
bOOy. lrrqularity
Excu•
SlAgtl.tllon
'X
X
X
X X
X
•
X
1
'
X
•
X X
The da>SifiC>~Ion of 1he Four Imbalances w•~ sp«ifir.lly designed by ihc author 0\S .t system of dlff<>rt'nti.ltion to integrate i\cupuncture. energy work and ml'
1
X
X
X
X
X
CV.4 C'4n be-~ for lrr~l.\nty only\\~ thlt Jt NW'\1on Oi>fkwncy, tJnce CV.4 con toniC)' the undetlyln& Dftldtnty. X.. prllntry u_,.; x. M!roncL.ry wco.
Cpy
111
"
How to make effective combinations
7
TREATING CAUSE AND EFFECT Hlnesses tend to have one or more u.nderlying cause, S.m, l.lnd one or more external manifestatitln, Bi:.o. For example, a common cold may have underlying Deficiency of Qi, &n, with ouhvi)rd signs of f!xt(' rior \\'ind, Biao, c.s. sn~zing and chills. The underlying Deficiency of Qi, the cause, l.lllows the lnv4sion of Exterior Wind, the effect. Th~ question In forming a point combination ls when to tr('at the c-Jusc and whtm to treat the ~f£cct. There are various possibilities:
treat effect only treat c3usc only treat
CllUSl'
tr~a t
cJfect then cause
thcn effect
treat cause and
~ffect
Simultaneously.
TREAT EFFECT ONLY This is usually o nly done when the i'ff'cct is Exterior nud is dominant to the cJ usc. For ex:amph:.•, when there is Wind Cold in\'asion with only mild underlying Deficiency of Qi. so that this Deficiency will be corrected by the body itself. \\ithout further treatment, once the Exterior Wind Cold has been expelled. ~.g. with lU.i • Ll.4 Rd. This is rare in the clinical experience of the author. since most of his patient"s h,we had chronic underlying Defkiendes which needed to nifying. after tht> Exterior factor w.1s n.~ovcd.
II both rouse and elfeel arc Interior it is more common to tre
b.~
used at lh e s.lm(' ti.me as HT.3 for
Deficient Heart Yin.
TREAT CAUSE ONLY This is not used for Exterior conditions. since the Exterior factor must be expcl1<-d first. It may be enough In some internal problems to treat the root only. For example. CV.4, ST.36, Kl.3 Rf M for an underlying condition of De6cicnt Kidney Y~ng. may relieve the symptoms of tiredness and impotence. HO\\'Cvcr, addltion.tl point:; arc 49
Copyrghled m leria
50
'rHf.ORF.11CJ\L
PR I~C I PU.S
OF f'OI Nf C0~ 1 81NAnON
o ften needed to tnMt th~ symptoms, CSP\'cially if these arc local. e.g . C"old hands :.md (~t. SP.2 .1nd PC.S Rf M can then b~ <"tddcd to th~ points (or the cau~.
headache assodat('d with Hyperactive Uver Yang may h.we an underlying c-ause of Ocfident Kidn ey Qi. C V.4
•nd K1.3 JU M for tho Deficient Kidnov c•n bo used simultanoously with CB.34 and CB.20 Rl for th< Hyper· acti\'e !Jver Yang.
TI~ EAT
C AUSE THEN EFFEG
Tltis is r.m: in Exti.•rior conditions, sin.:~ the: Ext<:rior fa~:tor is usually c-x}X'JI('\J tlrst lt L~ .1lso uncommon ln llllerior condl:ions. since :he Interior c.1us~ ,,nd lntc.•rior effect Me often tr~.,tcd togclhc1·.
tl MATTER OF EMPHASIS
Of!('n, between JliJcks. J com bin~ltion is selected thO:t is prt'Ciominam l ~' for treating the cau:;~. but with a few points to treat the ~ffoct. For example, for headaches after
mcnstruo1.tion due to Dchcicnt Blood, bctwc-cn att.,cks, the combination could be;
H EM EFFECr THEN CAUSE
Bl.l i , BL.20, BL. 23, BL.43 Rl M; GV.20 E This is ver)1 common for illnes!ies when there is a chronic l merior c-c.mdition, with ()Ctasional more seven.• ag.sr
In this combinatio n most points ..uc fo r Dd lclcnt Blood. but thC' CV.20 is added to hannoniz€' the movement of Qi in the head. During attacks. the combin.1tion could lw:
C V.20. CB.20. yin tang. U.4 E; 51.36 Rf M Chronic Interior plus acute Exterior Fo r t>xamplc. a chronic Interior condiHon of Deficient Qi. with tiredn('SS, Ot.:ty ,lllow ~riodic Exterior irw.l5ion by Wind Cold. w ith intlucnu. During th e .tcute ph.JSC. the influl'M:a. the C't'fcrt is treated by expelling !h(' Wind Cold; during thc
CV.4, CV.!7. LU.9. Kl.3. ST.36 Rf
CV.H, LU.i, Ll.4 Rd
Chronic lnterior plu) acute Interior
For <'X., mplc, Dcfldcncy of Sple-t•n Qi m.1y result in tht.~ Spleen not holding the blood. \\'ith severe haemorrhage. The acuh': eficrt must be trc.Hed fi rst, for ('xamplc. with points such .1s S P. J and SP. IO Rf M. Once the bk>eding h..,s stopped, the Oefid c nc~· of Qi that c.-. used it, and th.:Deftcit:-ncy of Olood l'\'Sulting from it, can be !redted with points such •s BL.17. BL.20, BL.H R( M.
TREAT CAUSE AND HrEG
S I~I ULTANEOUS LY
'fhis is not used for Exterior problems, since the Exterior fJclor must b~ cxpl•llcd first. It is. howcvt.'r, !he common ~ L-'5.1 method of lre.lting Interior problems. For example, a
l-l~n:~. the mnjority of points arc for the> acute dfect, but ST.36 is 10 lt Nt th(' und<.•tlying Cdti.S('. The relati\'e number of points inch1ded h.l treat cause and to treat cHcct, will depend on the- rclati\'~ dominance o ( l'.lusc tt!ld cl(C(,'' t at Jny gi\'Cn time.
GENERAL GUIDELINES This st>
in cl ude~
a discussion of:
Ah Shi, local, adjacent and diStal po ints chains of points single points encircling an "rra points o n Yin and " ·' "S channels combining .tccording to the Six Divi!>ions points o n front .'\lld b.1ck point .1nd energy centr es points olboVL' ilnd below points right and left common ((mnulas. AH S lil, LOCAL. AO)ACF.NT AND DISTAl. POINTS
This system is especially useful for local problems and 'hannt>l problt'ms. Tite prindpJe is to us(• Ah Shi points. adjace-nt poin ~. and local and distat poin t$ on the affected
d1o1.nnd. Ah Shi points These are points in the affl'Ctcd area, whic:h arc painful on
Copyrghlcd m feria
ISBN D-443-DSDDb-b
9